Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Theresa Johnson, MA

Individual provider Mental Health Counselor · NPI 1164516175

Mrs. Mary Theresa Johnson, MA is a Mental Health Counselor in Worcester, Massachusetts. Qualified in 1998, 28 years ago. Practices with Massachusetts Psychiatric Services LLC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
28
Licensed in
MA
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

338 Highland St
Worcester, MA 01602
Phone: (508) 752-5880
Fax: (508) 831-9967
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 258 Main St, Sturbridge, MA 01566-1540 — (508) 418-6888

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 1003 (MA)

Record details

NPI number1164516175
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Massachusetts Psychiatric Services Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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